儿童期抑制气质的脑结构相关:一个谜-焦虑的大分析。

IF 9.2 1区 医学 Q1 PEDIATRICS
Janna Marie Bas-Hoogendam, Rachel A Bernstein, Brenda E Benson, Samuel E C Frank, Kristin A Buss, Kelley E Gunther, Koraly Pérez-Edgar, Giovanni A Salum, Andrea Jackowski, Rodrigo A Bressan, André Zugman, Kathryn A Degnan, Courtney A Filippi, Nathan Fox, Heather A Henderson, Alva Tang, Selin Zeytinoglu, Anita Harrewijn, Manon H J Hillegers, Ryan L Muetzel, Tonya White, Marinus H van IJzendoorn, Carl Robert Emden Schwartz, Julia Felicione, Kathryn A DeYoung, Alexander J Shackman, Jason F Smith, Rachael Tillman, Yvonne H M van den Berg, Antonius H N Cillessen, Karin Roelofs, Anna Tyborowska, Shirley Y Hill, Marco Battaglia, Marco Tettamanti, Lea R Dougherty, Jingwen Jin, Daniel N Klein, Hoi-Chung Leung, Suzanne N Avery, Jennifer Urbano Blackford, Jacqueline A Clauss, James M Bjork, John M Hettema, Ashlee A Moore, Roxann Roberson-Nay, Chelsea Sawyers, Elizabeth P Hayden, Pan Liu, Matthew R J Vandermeer, H Hill Goldsmith, Elizabeth M Planalp, Thomas E Nichols, Paul M Thompson, P Michiel Westenberg, Nic J A van der Wee, Nynke A Groenewold, Dan J Stein, Anderson M Winkler, Daniel S Pine
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引用次数: 0

摘要

目的:儿童期抑制性气质(cIT)与内在化精神病理发生风险增加有关。通过结构磁共振成像(MRI)识别的神经生物学特征可以阐明cIT的神经基质,但研究很少,而且通常集中在感兴趣的特定区域。此外,目前的研究结果缺乏可重复性。这项来自enigma焦虑工作组的预注册分析使用全面的全脑方法检查了与cIT相关的大脑结构特征。方法:汇集来自国际研究地点(欧洲、北美、南美)的气质评估(行为观察、父母/老师报告或13岁前cIT的自我报告)和mri数据(扫描时年龄:6-25岁)进行综合分析。在图像处理和质量控制之后,研究人员对3803名参与者进行了cIT和大脑结构之间的关联研究。皮质下体积、皮质厚度和表面积(主要分析)和详细的皮质下特征(如亚核、子场、局部体积效应;探索性分析)。结果:在整个样本中,cIT与大脑结构没有关系,既不是主要影响因素,也与性别或年龄没有相互作用。亚组分析(基于cIT评估类型)显示,在父母/老师报告cIT水平的青少年中,性别相互作用对平均皮质厚度(pMC-FWER = 0.037)和右顶叶上区厚度(pMC-FWER = 0.029)的影响。探索性分析揭示了海马、壳核和尾状核的发现,但大多数没有经过多重检验的统计校正。结论:这项大型分析发现cIT和大脑区域结构之间没有一致的联系,尽管顶叶区域的作用值得进一步研究。未来的研究应该考虑cIT患者的大脑功能,最好采用纵向设计。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Structural Brain Correlates of Childhood Inhibited Temperament: An ENIGMA-Anxiety Mega-Analysis.

Objective: Childhood inhibited temperament (cIT) is associated with an increased risk for developing internalizing psychopathology. Neurobiological characteristics identified by structural magnetic resonance imaging (MRI) may elucidate the neural substrates for cIT, but studies are scarce and often focus on particular regions of interest. Moreover, current findings lack replication. This pre-registered analysis from the ENIGMA-Anxiety Working Group examined structural brain characteristics associated with cIT using a comprehensive whole-brain approach.

Method: Temperament assessments (behavioral observations, parental/teacher reports or self-reports on cIT before age 13) and MRI-data (age at scan: 6-25 years) from international research sites (Europe, North America, South America) were pooled for mega-analysis. Following image processing and quality control, associations between cIT and brain structure were examined in 3,803 participants. Subcortical volumes, cortical thickness and surface area (main analyses) and detailed subcortical characteristics (e.g. subnuclei, subfields, partial volume effects; exploratory analyses) were considered.

Results: In the full sample, cIT showed no relation with brain structure, neither as a main effect nor in interactions with sex or age. Subgroup analyses (based on cIT-assessment type) revealed cIT by sex interactions on mean cortical thickness (pMC-FWER = 0.037) and thickness of the right superior parietal region (pMC-FWER = 0.029) in youth with parental/teacher reports on cIT-levels. Exploratory analyses revealed findings in hippocampus, putamen and caudate, but most did not survive statistical correction for multiple testing.

Conclusion: This mega-analysis found no consistent associations between cIT and regional brain structure, although the role of parietal regions warrants further investigation. Future studies should consider brain function in cIT, preferably using longitudinal designs.

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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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